Lead Insurance Verification Specialist

About Equip 

Equip is the leading virtual, evidence-based eating disorder treatment program on a mission to ensure that everyone with an eating disorder can access treatment that works. Created by clinical experts in the field and people with lived experience, Equip builds upon evidence-based treatments to empower individuals to reach lasting recovery. All Equip patients receive a dedicated care team, including a therapist, dietitian, physician, and peer and family mentor. The company operates in all 50 states and is partnered with most major health insurance plans. Learn more about our strong outcomes and treatment approach at www.equip.health.

Founded in 2019, Equip has been a fully virtual company since its inception and is proud of the highly-engaged, passionate, and diverse Equisters that have created Equip’s culture.  Recognized by Time as one of the most influential companies of 2023, along with awards from Linkedin and Lattice, we are grateful to Equipsters for building a sustainable treatment program that has served thousands of patients and families.

About the role

The Lead Insurance Verification Specialist (IVS) will be responsible for leading and supporting the IVS team through the patient admissions and ongoing treatment process. This role will serve as a player-coach, providing day-to-day guidance, quality oversight, and subject-matter expertise while also performing insurance verification work as needed. This individual will partner closely with Admissions, Utilization Management, Revenue Cycle Management (RCM), and Finance to ensure accurate, timely, and consistent insurance verification and benefit communication. This role brings deep insurance knowledge, strong organizational and communication skills, and a passion for building scalable processes in a fast-paced, collaborative environment. They are energized by coaching others, improving workflows, and ensuring insurance clarity that supports both patient experience and operational excellence.

Responsibilities

• Lead the IVS team by providing daily guidance, training, and quality assurance to ensure performance metrics are met, while remaining ready to complete hands-on insurance verification tasks as needed.

• Develop collaborative relationships and interface with insurance companies/payors to verify benefits and eligibility, including managing pushback and conflicting information.

• Work collaboratively with the RCM, finance, accounting, admissions, and utilization management departments.

• Act as a trusted subject-matter expert for insurance benefits, eligibility, and complexity.

• Provide real-time guidance and escalation support for timely and accurate verifications.

• Identify process gaps, inefficiencies, and error trends, translating them into practical improvements.

• Lead onboarding for new Insurance Verification Specialists and deliver ongoing training to reinforce payor knowledge, standard work, system updates, and best practices as processes evolve.

• Facilitate regular team meetings and one-on-one check-ins to provide guidance, address challenges, share updates, and ensure alignment on priorities and expectations.

• Monitor individual and team performance against quality, accuracy, and productivity standards; provide timely coaching, feedback, and development support to drive consistent performance and continuous improvement.

• Perform other duties as assigned.

Qualifications

• 5+ years of healthcare experience with billing, insurance verification, or utilization management required.

• 2+ years of leading a team or relevant mentorship experience.

• High proficiency in EMR/billing systems with excellent data accuracy and documentation.

• Familiarity with HIPAA privacy requirements for patient information. Ability to maintain and protect confidential information.

• Deep expertise in behavioral health/healthcare insurance verification, benefits, eligibility, and payor rules.

• Excellent organizational awareness, adaptability, and conflict management skills.

• Strong understanding of authorizations, coverage nuances, and denial prevention.

• Strong attention to detail and excellent communication skills (written and verbal).

• Comfortable with fast-paced, ambiguous environments.

• A passion for living Equip’s mission and values.

Physical Demands

Work is performed 100% from home with no requirement to travel. This is a stationary position that requires the ability to operate standard office equipment and keyboards as well as to talk or hear by telephone. Sit or stand as needed.

At Equip, Diversity, Equity, Inclusion and Belonging (DEIB) are woven into everything we do. At the heart of Equip’s mission is a relentless dedication to making sure that everyone with an eating disorder has access to care that works regardless of race, gender, sexuality, ability, weight, socio-economic status, and any marginalized identity. We also strive toward our providers and corporate team reflecting that same dedication both in bringing in and retaining talented employees from all backgrounds and identities. We have an Equip DEIB council, Equip For All; also referred to as EFA. EFA at Equip aims to be a space driven by mutual respect, and thoughtful, effective communication strategy - enabling full participation of members who identify as marginalized or under-represented and allies, amplifying diverse voices, creating opportunities for advocacy and contributing to the advancement of diversity, equity, inclusion, and belonging at Equip.

At Equip, Diversity, Equity, Inclusion and Belonging (DEIB) are woven into everything we do. At the heart of Equip’s mission is a relentless dedication to making sure that everyone with an eating disorder has access to care that works regardless of race, gender, sexuality, ability, weight, socio-economic status, and any marginalized identity. We also strive toward our providers and corporate team reflecting that same dedication both in bringing in and retaining talented employees from all backgrounds and identities. We have an Equip DEIB council, Equip For All; also referred to as EFA. EFA at Equip aims to be a space driven by mutual respect, and thoughtful, effective communication strategy - enabling full participation of  members who identify as marginalized or under-represented and allies, amplifying diverse voices, creating opportunities for advocacy and contributing to the advancement of diversity, equity, inclusion, and belonging at Equip.

As an equal opportunity employer, we provide equal opportunity in all aspects of employment, including recruiting, hiring, compensation, training and promotion, termination, and any other terms and conditions of employment without regard to race, ethnicity, color, religion, sex, sexual orientation, gender identity, gender expression, familial status, age, disability, weight, and/or any other legally protected classification protected by federal, state, or local law. 

Our dedication to equitable access, which is core to our mission, extends to how we build our "village." In line with our commitment to Diversity, Equity, Inclusion, and Belonging (DEIB), we are dedicated to an accessible hiring process where all candidates feel a true sense of belonging. If you require a reasonable accommodation to complete your application, interview, or perform the essential functions of a role, we invite you to reach out to our People team at [email protected].

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